[38F] Knee injury from fall with pain and difficulty bending

Patient Description

A 38-year-old female reports an injury to the knee resulting from a fall that occurred yesterday. She experiences pain, rated 6 out of 10, which is exacerbated by walking and bending. The pain is localized to the front of the knee cap. Additionally, there is a scrape and bruising present on the knee. The patient has no known drug allergies, no pre-existing conditions, and is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may have experienced one of the following:

  • Sprained Knee: A sprain is an injury to a ligament, which is a band of tissue that connects a bone to another bone. Ligaments stabilize and support the body's joints. For example, the four ligaments in your knee join the thigh bone to the shin bone. A sprain can cause pain, swelling, and possibly bruising, depending on the severity of the injury.

    • Treatment typically includes rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers might be recommended by your doctor. Physical therapy and, in severe cases, surgery might be needed.
  • Knee Contusion or Bruise: This can occur if you've had a hard blow to the knee. Symptoms can include pain, swelling, and discoloration.

    • Treatment typically includes rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers might be recommended by your doctor.
  • Patellar Fracture: This is a break in the kneecap. It's usually caused by a forceful impact, like falling onto your knees. Symptoms can include severe pain, swelling, and difficulty walking or straightening your knee.

    • Treatment could range from wearing a cast or splint to keep your knee straight to surgery, depending on the type and severity of the fracture.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some steps you can take:

  1. Rest: Avoid putting weight on your injured knee as much as possible.
  2. Ice: Apply an ice pack to your knee for 15-20 minutes every 2-3 hours.
  3. Compression: Wrap your knee with an elastic bandage or compression wrap.
  4. Elevation: Try to keep your knee elevated as much as possible to reduce swelling.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Intense pain
  • Significant swelling
  • A noticeable deformity or change in the shape of your knee
  • Difficulty bearing weight on your knee
  • Inability to fully extend or flex your knee

Remember, while this advice can provide guidance, it's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

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11 mo ago

People Also Ask


What are the common symptoms of a knee sprain?

Common symptoms of a knee sprain include pain, swelling, bruising, and difficulty moving the knee. The severity of these symptoms can vary depending on the extent of the ligament injury.


How can I differentiate between a knee contusion and a patellar fracture?

A knee contusion typically involves pain, swelling, and discoloration due to bruising, while a patellar fracture often causes severe pain, significant swelling, and difficulty walking or straightening the knee. A fracture may also result in a noticeable deformity.


What is the RICE method and how does it help with knee injuries?

The RICE method stands for Rest, Ice, Compression, and Elevation. It helps reduce pain and swelling, promotes healing, and prevents further injury. Resting minimizes stress on the knee, ice reduces swelling, compression supports the knee, and elevation decreases fluid accumulation.


When should I seek medical attention for a knee injury?

You should seek medical attention if you experience intense pain, significant swelling, a noticeable deformity, difficulty bearing weight, or inability to fully extend or flex your knee. These could indicate a more serious injury requiring professional evaluation.


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